Post-Acute Care
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Prior authorizations for post-acute care stays are managed as follows:
| Service | Members | Managed by | |
|---|---|---|---|
|
Post-acute care — skilled nursing facilities, inpatient rehabilitation centers and long-term acute care hospitals |
|||
| BCN commercial | BCN Utilization Management — Submit through the e-referral system | ||
| BCN Advantage℠ |
For dates of service before Oct. 1 , 2024: Home & Community Care (formerly known as naviHealth, Inc.) |
For dates of service on or after Oct. 1 , 2024: BCN Utilization Management — Submit through the e-referral system |
|
| Blue Cross commercial | Blue Cross Utilization Management — Submit through the e-referral system | ||
| Medicare Plus Blue℠ |
For dates of service before Oct. 1 , 2024: Home & Community Care (formerly known as naviHealth, Inc.) |
For dates of service on or after Oct. 1 , 2024: Blue Cross Utilization Management — Submit through the e-referral system |
|
How to submit prior authorization requests
To learn how to submit requests, see our Getting Started page.
Submit requests before providing services.
Utilization management criteria
To view, visit our Utilization management criteria page.
Frequently accessed documents
Additional resources
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